Manager Healthcare Economics, MA Risk Adjustment - Remote
About the position As a Manager Healthcare Economics at Optum, you will lead efforts in risk score forecasting, revenue assessment, predictive modeling, and strategic guidance related to Medicare Advantage Risk Adjustment. This role involves collaborating with finance and accounting teams, managing complex analytic projects, and serving as a key contact for healthcare economics and analytics within the organization. You will utilize your expertise in data access and manipulation to support analyses that improve health outcomes and advance health equity. Responsibilities • Lead a region and/or markets for forecasting revenue and collaborating with finance and accounting teams. • Assist in leading complex analytic projects leveraging data from multiple sources. • Understand and apply highly technical specifications to healthcare datasets. • Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership and key national finance and operations stakeholders. • Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish. • Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment. • Identify and implement appropriate analytic and forecasting methodologies. • Develop and manage advanced forecast models. • Design, produce and support development of dashboards and key performance indicator reports to meet customer requirements. • Leverage and coordinate enterprise-wide capabilities to meet business-specific needs. • Educate non-technical stakeholders on risk adjustment topics from the clinical, operational, and financial perspective. • Communicate results to relevant audiences, and seek and apply feedback into future iterations and new analytic development. Requirements • Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field and 3+ years of advanced analytics experience focused on healthcare data. • Knowledge of the CMS Risk Adjustment models and applicability as it relates to revenue cycle analytics and forecasting. • Analytical expertise in data analysis, statistical analysis, data manipulation, data extraction, and reporting. • Advanced proficiency with SQL development. • Proficient with MS Excel, including creating Macros, Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs. Nice-to-haves • Experience in supporting finance and accounting partners through an analytics focused role, including forecasting techniques. • Experience in predictive modeling, data manipulation, reporting, and analysis. • Experience synthesizing analysis into actionable and easy to digest insights. • Experience measuring impact and ROI of operational programs and services. • Advanced to expert proficiency with SAS and/or other data manipulation and statistical tools. • Knowledge of CMS regulations and specifications regarding Medicare Advantage risk adjustment. • Experience with Snowflake. Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job